Term
| Cor pulmonale is __ heart failure that has nothing to do with __ _ __ |
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Definition
| - right heart failure that has nothing to do with left heart failure |
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Term
| Cor pulmonale is right sided heart disease, secondarily caused by abnormalities of the __ __, __, __, or __ __ __. There is no evidence of other __ __ with cor pulmonale |
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Definition
- lung parenchyma
- airways
- thorax
- respiratory control mechanisms
- no evidence of other heart conditions |
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Term
| Primary cause of cor pulmonale: |
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Definition
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Term
| With cor pulmonale __ therapy and treating underlying diseases are key |
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Definition
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Term
| are pulmonary vasodilators good for cor pulmonale? |
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Definition
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Term
| Pulmonary vasodilators (PDE-5 inhibitors) are indicated for __ __, but NOT for __ __. |
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Definition
- for pulmonary HTN
- NOT for cor pulmonale |
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Term
| __ may improve ventricular function with cor pumonale. |
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Definition
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Term
| __ is contraindicated for Cor Pulmonale unless there is also left-sided congestive heart failure present. |
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Definition
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Term
| Diuretics are used in cor pulmonale to increase __ ___ __ __. These meds improve the function of both __, but watch for __ __ which could suppress __. |
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Definition
- right ventricular filling volume
- ventricles
- metabolic alkalosis which could suppress ventilation |
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Term
| side effect of diuretics: |
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Definition
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Term
| When on diuretics, monitor for excessive volume depletion by monitoring: |
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Definition
- BUN "prerenal"
- Cr "renal"
- estimated GFR |
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Term
| Etiologies of Cor Pulmonale I include __ and __ __ and __ __. |
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Definition
- Lung and Airway Problems
- Vascular Occlusion |
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Term
| Examples of lung/airway problems that may lead to Cor Pulmonale: |
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Definition
- COPD
- Asthma
- Bronchiectasis
- DILD
- TB |
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Term
| Examples of vascular occlusions that could cause cor pulmonale: |
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Definition
- Multiple emboli
- Schistosomiasis
- Filarisis
- Sickle cell
- Primary pulmonary HTN |
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Term
| Lung/airway problems and vascular occlusions are the causes for __ __ _ |
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Definition
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Term
| Etiologies of Cor Pulmonale II include __ __ __ and __ __ __. |
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Definition
- thoracic cage abnormalities
- neuromuscular disease |
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Term
| Examples of thoracic cage abnormalities that may cause cor pulmonale II: |
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Definition
- Kyphosis greater than 100 degrees
- Scoliois greater than 120 degrees
- Thoracoplasty
- Pleural fibrosis |
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Term
| Neuromuscular diseases that could cause Cor Pulmonale II: |
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Definition
- Polio Myelitis
- Myasthenia Gravis
- Amyotrophic Lateral Sclerosis
- Muscular Dystrophy |
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Term
| Cor Pulmonale III is caused by __ __ __. Give examples. |
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Definition
abnormal respiratory control
- Idiopathic hypoventilation syndrome
- Obesity hypoventilation syndrome (Pick-Wickian syndrome)
- Cerebrovascular disease |
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Term
| Obesity hypoventilation syndrome is aka: |
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Definition
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Term
| Pleural fibrosis would cause Cor Pulmonale __. |
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Definition
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Term
| Common features of cor pulmonale: |
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Definition
- hypertrophy of microvasculature
- RIGHT VENTRICULAR HYPERTROPHY |
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Term
| Hallmark sign of Cor Pulmonale: |
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Definition
| HYPERTROPHY OF RIGHT VENTRICLE |
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Term
| Natural history of Cor Pulmonale: |
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Definition
- several months to years to develop
- from children to old pple
- repeated infections aggravate RV strain> RV failure
- initially responds well to therapy but progressively becomes refractory |
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Term
| Is emphysema or chronic bronchitis more common with cor pulmonale? |
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Definition
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Term
Autopsy in Chronic Bronchitis : 50%
More prevalent in pollution area or smokers |
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Definition
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Term
| X-ray findings suggestive of cor pulmonale: |
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Definition
- prominent pulmonary hilum
- pulmonary artery dilation
- Rt MPA > 20 mm |
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Term
| EKG findings of cor pulmonale: |
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Definition
- P-pulmonale (peaked p waves)
- RAD
- RVH |
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Term
| Echo findings with cor pulmonale: |
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Definition
- RVH
- Tricuspid regurg
- Pulmonary HTN |
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Term
| Right sided heart failure, not due to left sided heart failure, but rather due to messed up pulmonary circulation (vasoconstriction): |
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Definition
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Term
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Definition
- Hypoxemia
- Hypercapnea
- Respiratory Acidosis |
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Term
| CBC of pt with Cor Pulmonale may show ___. |
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Definition
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Term
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Definition
- treat underlying cause
- steroids
- continuous O2 <2-3L
- theyophylline
- medroxyprogesterone
- diuretics
- phlebotomy
- reduce ventilation/profusion imbalance with Amitrine Bimesylate |
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Term
| __ __ can be used to reduce the ventilation/profusion imbalance with Cor Pulmonale. |
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Definition
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Term
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Definition
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